Abstract LB147: The mediating effects of socio-behavioral factors on the needs for help among Asian American breast cancer survivors
Authors: Seo Yun Kim, Eun-ok Im, Wonshik Chee
Journal: Cancer Research (2023)

Abstract Background: Breast cancer survivors often report their high needs for help during the transition to cancer survivorship. During the COVID-19 pandemic, technology-based programs are increasingly popular because of their high flexibility and accessibility in delivering information and coaching/support to address the current needs for help among cancer survivors. Yet, little is known about how socio-behavioral factors influence the effects of a technology-based intervention on the needs for help of racial/ethnic minority breast cancer survivors, especially Asian American breast cancer survivors. Purpose: The purpose of this secondary analysis was to examine the multiple socio-behavioral factors (including attitudes, self-efficacy, perceived barriers, and social influences related to breast cancer survivorship) mediated the effects of a technology-based intervention on the needs for help among Asian American breast cancer survivors. Methods: This analysis was conducted with the data from 199 Asian American breast cancer survivor women who were recruited from January 2017 to June 2020 through online and offline communities/groups. The needs for help were measured using the Support Care Needs Survey-34 Short Form (SCNS) with five domains on psychological, information, physical, support, and communication needs. Mediation analysis was conducted using the PROCESS macro within SPSS. The analysis determined the mediating effects of four socio-behavioral mediators on the needs for help at pre-test [T0], post 1-month [T1], and post 3-months [T2] of a technology-based intervention. Results: Overall, all the mediators had statistically significant mediation effects on all types of needs for help (p &amp;lt; .05) at different points. Attitudes and social influence presented statistically significant mediation effects on the total needs for help score over 3 months (T0, T1, and T2). Perceived Barriers had mediation effects on all types of needs for help over 1 month (T0, T1). Self-efficacy mediated the effects on all types of needs for help only at post 1 month (T1). Conclusions: The findings supported that all the socio-behavioral factors (attitudes, self-efficacy, perceived barriers, and social influences) mediated the effects of a technology-based intervention on the needs for help of Asian American breast cancer survivors. Future research and practice should consider socio-behavioral factors to reduce their needs for help during their survivorship process Acknowledgments: The parent study was funded by the National Institutes of Health (NCI/NINR; 1R01CA203719). Citation Format: Seo Yun Kim, Eun-ok Im, Wonshik Chee, TICAA Research Team. The mediating effects of socio-behavioral factors on the needs for help among Asian American breast cancer survivors [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2023; Part 2 (Clinical Trials and Late-Breaking Research); 2023 Apr 14-19; Orlando, FL. Philadelphia (PA): AACR; Cancer Res 2023;83(8_Suppl):Abstract nr LB147.